Detection of obstructive sleep apnea in pediatric subjects using surface lead electrocardiogram features

Sleep

Volumn 27, Issue 4, 2004, Pages 784-792

  Shouldice, Redmond B ^a   O'Brien, Louise M ^b   O'Brien, Ciara ^a   De Chazal, Philip ^a   Gozal, David ^b   Heneghan, Conor ^a  

^a UNIVERSITY COLLEGE DUBLIN   (Ireland)

^b University of Louisville School of Medicine   (United States)

Author keywords

Automated detection; ECG; Obstructive sleep apnea; Pediatric; RR intervals

Indexed keywords

ADOLESCENT; ARTICLE; AUTOANALYSIS; CHILD; CIRCADIAN RHYTHM; CLINICAL ARTICLE; CLINICAL FEATURE; CONTROLLED STUDY; CORRELATION COEFFICIENT; DATA ANALYSIS; DIAGNOSTIC ACCURACY; DISCRIMINANT ANALYSIS; ELECTROCARDIOGRAM; FEASIBILITY STUDY; FEMALE; HEART RATE; HUMAN; MALE; MEASUREMENT; PARAMETER; PATIENT CODING; POLYSOMNOGRAPHY; PREDICTION; PRIORITY JOURNAL; RECEIVER OPERATING CHARACTERISTIC; RETROSPECTIVE STUDY; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; SIGNAL DETECTION; SLEEP APNEA SYNDROME; SYSTEM ANALYSIS; TECHNIQUE;

EID: 3042582796     PISSN: 01618105     EISSN: None     Source Type: Journal    
DOI: 10.1093/sleep/27.4.784     Document Type: Article

References (46)

1. Brouillette R, Hanson D, David R, Klemka L, Szatowski A, Fernbach S, Hunt C. A diagnostic approach to suspected obstructive sleep apnea in children. J Pediatr 1984;105:10-4.
2. Ali N J, Pitson D, Stradling J R. Snoring, sleep disturbance and behavior in 4-5 year olds. Arch Dis Child 1993;68:360-6.
3. Gislason, T, and B. Benediktsdottir. Snoring, apneic episodes, and nocturnal hypoxemia among children 6 months to 6-years-old. Chest 1995;107:963-6.
4. Chervin R, Dillon J, Bassetti C, Ganoczy D, Pituch K. Symptoms of sleep disorders, inattention, and hyperactivity in children. Sleep 1997;20:1185-92.
5. Gozal D. Sleep-disordered breathing and school performance in children. Pediatrics 1998;102:616-20.
6. Shiomi T, Guilleminault C, Stoohs R, Schnittger I. Obstructed breathing in children during sleep monitored by echocardiography. Acta Paediatr 1993;82:863-71.
7. Amin RS, Kimball TR, Bean JA, et al. Left ventricular hypertrophy and abnormal ventricular geometry in children and adolescents with obstructive sleep apnea. Am J Respir Crit Care Med 2002;165:1395-9.
8. Everett AD, Koch WC, Saulsbury FT. Failure to thrive due to obstructive sleep apnea. Clin Pediatr 1987;26:90-2.
9. Marcus CL. Sleep-disordered breathing in children. Am J Respir Crit Care Med 2001;164:16-30.
10. Rosen CL, D'Andrea L, Haddad GG. Adult criteria for obstructive sleep apnea do not identify children with serious obstruction. Am Rev Respir Dis 1992;146:1231-4.
11. Carroll JL, McLoughlin GM. Diagnostic criteria for obstructive sleep apnea in children. Pediatr Pulmonol 1992;14:71-4.
12. Young T, Evans L, Finn L, Palta M. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep 1997;20:705-6.
13. Carroll JL, McColley SA, Marcus CL, Curtis S, Loughlin GM. Inability of clinical history to distinguish primary snoring from obstructive sleep apnea syndrome in children. Chest 1995;108:610-8.
14. Wang RC, Elkins TP, Keech D, Wauquier A, Hubbard D. Accuracy of clinical evaluation in pediatric obstructive sleep apnea. Otolaryngol Head Neck Surg 1998;118:69-73.
15. Lamm C, Mandeli J, Kattan M. Evaluation of home audiotapes as an abbreviated test for obstructive sleep apnea syndrome (OSAS) in children. Pediatr Pulmonol 1999;27:267-72.
16. Sivan Y, Kornecki A, Schonfeld T. Screening obstructive sleep apnoea syndrome by home videotape recording in children. Eur Respir J 1996;9:2127-31.
17. Brouillette RT, Morielli A, Leimanis A, Waters KA, Luciano R, Ducharme FM. Nocturnal pulse oximetry as an abbreviated testing modality for pediatric obstructive sleep apnea. Pediatrics 2000;105:405-12.
18. Marcus CL, Keens TG, Ward SLD. Comparison of NAP and overnight polysomnography in children. Pediatr Pulmonol 1992;13:16-21.
19. Aljadeff G, Gozal D, Schechtman VL, Burrell B, Harper RM, Ward SL. Heart rate variability in children with obstructive sleep apnea. Sleep 1997;20:151-7.
20. de Chazal P, Heneghan C, Sheridan E, Reilly R, Nolan P, O'Malley M. Automated Processing of the Single Lead Electrocardiogram for the Detection of Obstructive Sleep Apnea. IEEE Trans Biomed Eng 2003;50:686-96.
21. Shouldice R, de Chazal P, Heneghan C, O'Brien L, Gozal D. Obstructive sleep apnea detection in pediatric subjects using surface lead electrocardiogram characteristic intervals. Sleep Med 2003;4:S1-56.
22. Penzel T, McNames J, Murray A, de Chazal P, Moody G, Raymond B. Systematic comparison of different algorithms for apnoea detection based on electrocardiogram recordings. Med Biol Eng Comput 2002;40:402-7.
23. Guilleminault C, Connolly S, Winkle R, Melvin K, Tilkian A. Cyclical variation of the heart rate in sleep apnea syndrome. Mechanism and usefulness of 24 h electrocardiography as a screening technique. Lancet 1984;1:126-31.
24. Stein PK, Duntley SP, Domitrovich PP, Nishith P, Carney RM. A simple method to identify sleep apnea using Holter recordings. J Cardiovasc Electrophysiol 2003;14:467-73.
25. Shiomi T, Guilleminault C, Sasanabe R, Hirota I, Maekawa M, Kobayashi T. Augmented very low frequency component of heart rate variability during obstructive sleep apnea. Sleep 1996;19:370-7.
26. Roche F, Duverney D, Court-Fortune I, et al. Cardiac interbeat interval increment for the identification of obstructive sleep apnea. Pacing Clin Electrophysiol 2002;25:1192-9.
27. Roche F, Gaspoz JM, Court-Fortune I, Minini P, Pichot V, Duverney D, Costes F, Lacour JR, Barthelemy JC. Screening of obstructive sleep apnea syndrome by heart rate variability analysis. Circulation 1999;100:1411-5.
28. Moody GB, Mark RG, Zoccola A, Mantero S. Clinical validation of the ECG-derived respiration (EDR) technique. In: Computers in Cardiology, Piscataway NJ: IEEE Computer Society Press; 1986:507-10.
29. Travaglini A, Lamberti C, DeBie J, Ferri M. Respiratory signal derived from eight-lead ECG. In: Computers in Cardiology, Piscataway NJ: IEEE Computer Society Press; 1998:65-8.
30. Rechtschaffen A, Kales A. A manual of standardized terminology, techniques and scoring systems for sleep stages of human subject. Washington DC: National Institutes of Health 1968; Pub. No. 204.
31. American Thoracic Society: Standards and indications for cardiopulmonary sleep studies in children. Am J Respir Crit Care Med 1996;153:866-78.
32. Benitez D, Gaydecki PA, Zaidi A, Fitzpatrick AP. The use of the Hilbert transform in ECG signal analysis. Computers in Biology and Medicine 2001;31:339-406.
33. DeBoer RW, Karemaker JM, Strackee J. Comparing spectra of a series of point events particularly for heart rate variability data. IEEE Trans Biomed Eng 1984;31:384-7.
34. Ripley BD. Pattern Recognition and Neural Networks. Cambridge: Cambridge University Press; 1996.
35. Duda RO, and Hart PE. Pattern Classification and Scene Analysis. New York: Wiley, 1973.
36. Kohavi R. A study of cross validation and bootstrap for accuracy estimation and model selection. Proc 14th Int Joint Conference on Artificial Intelligence, 1995;1137-43.
37. Zweig MH, Campbell G. Receiver-operating characteristic (ROC) plots: a fundamental evaluation tool in clinical medicine. Clin Chem 1993;39:1589.
38. Rabbia F, Silke B, Conterno A, Grosso T, De Vito B, Rabbone I, Chiandussi L, Veglio F. Assessment of cardiac autonomic modulation during adolescent obesity. Obes Res 2003;11:541-8.
39. Norman RG, Pal I, Stewart C, Walsleben JA, Rapoport DM. Interobserver agreement among sleep scorers from different centers in a large dataset. Sleep 2000;23:901-8.
40. Silvestri JM, Weese-Mayer DE, Bass MT, Kenny AS, Hauptman SA, Pearsall SM. Polysomnography in obese children with a history of sleep-associated breathing disorders. Pediatr Pulmonol 1993;16:124-9.
41. Guilleminault C, Winkle R, Korobkin R, Simmons B. Children and nocturnal snoring: evaluation of the effects of sleep related respiratory resistive load and daytime functioning. Eur J Pediatr 1982;139:165-71.
42. Barker SJ, Shah NK. The effects of motion on the performance of pulse oximeters in volunteers (revised publication). Anesthesiology 1997;86:101-8.
43. Saeed MM, Keens TG, Stabile MW, Bolokowicz J, Davidson Ward SL. Should children with suspected obstructive sleep apnea syndrome and normal nap sleep studies have overnight sleep studies? Chest 2000;118:360-5.
44. Nixon GM, Brouillette RT. Diagnostic techniques for obstructive sleep apnoea: is polysomnography necessary? Paediatr Respir Rev 2002;3:18-24.
45. Flemons WW, Littner MR, Rowley JA, et al. Home diagnosis of sleep apnea: a systematic review of the literature: an evidence review cosponsored by the American Academy of Sleep Medicine, the American College of Chest Physicians, and the American Thoracic Society. Chest. 2003;124:1543-79.
46. Ferber R, Millman R, Coppola M, et al. Portable recording in the assessment of obstructive sleep apnea. ASDA standards of practice. Sleep 1994;17:378-92.